Plan Benefit Materials | Allwell from Sunshine Health

Plan Materials and Forms

 

Information about plan benefits, services, and drug costs can be found in your plan materials.

Look at your Wellcare By Allwell member ID card for your plan number and type to view materials for your plan. 

  • View a sample of an Wellcare By Allwell Member ID Card to see where this information is located.

You can also look for plan materials based on the plan name and the county you live in.

If you don’t have a Wellcare By Allwell ID card or have questions about plan materials, give us a call. We’re here to help.

This booklet gives you a summary of costs and coverage in your plan.

Please select the document for your plan and county:

For HMO D-SNP Members:

Plan Name CMS# County Summary of Benefits
Wellcare Dual Medicare (HMO D-SNP) H5190 - 001 Duval, Volusia
Wellcare Dual Medicare (HMO D-SNP) H5190 - 002 Hillsborough, Orange, Osceola, Palm Beach, Pasco, Pinellas, Polk, Seminole
Wellcare Dual Medicare (HMO D-SNP) H5190 - 003 Broward
Wellcare Dual Medicare (HMO D-SNP) H5190 - 004

Miami - Dade
Wellcare Dual Nurture (HMO D-SNP) H5190 - 005 Broward, Duval, Hillsborough, Orange, Osceola, Palm Beach, Pasco, Pinellas, Polk, Seminole, Volusia
Wellcare Dual Nurture (HMO D-SNP) H5190 - 006 Miami - Dade

This booklet gives you a complete list of services, limitations and exclusions for your plan coverage.

Please select the document for your plan and county:

For HMO D-SNP Members:

Plan Name   CMS#  County Evidence of Coverage
Wellcare Dual Medicare (HMO D-SNP) H5190 - 001

Duval | Volusia

 

 
Wellcare Dual Medicare (HMO D-SNP) H5190 - 002 Hillsborough | Orange | Osceola | Palm Beach | Pasco | Pinellas | Polk | Seminole
Wellcare Dual Medicare (HMO D-SNP) H5190 - 003 Broward
Wellcare Dual Medicare (HMO D-SNP) H5190 - 004

Miami - Dade
Wellcare Dual Nurture (HMO D-SNP) H5190 - 005 Broward | Duval | Hillsborough | Orange | Osceola | Palm Beach | Pasco | Pinellas | Polk | Seminole | Volusia
Wellcare Dual Nurture (HMO D-SNP) H5190 - 006 Miami - Dade

 

If you were enrolled in Wellcare By Allwell last year, this booklet will tell you about changes to your plan’s costs and benefits for the coming year.

Please select the document for your plan and county:

For HMO D-SNP Members:

Plan Name CMS# County Annual Notice Of Changes
Wellcare Dual Medicare (HMO D-SNP) H5190 - 001 Baker | Duval | Hardee | Hernando | Lake | Manatee |Marion | Martin | Volusia

 

 

Wellcare Dual Medicare (HMO D-SNP) H5190 - 002 Hillsborough | Orange | Osceola | Palm Beach | Pasco | Pinellas | Polk | Seminole | St.Lucie
Wellcare Dual Medicare (HMO D-SNP) H5190 - 003 Broward
Wellcare Dual Medicare (HMO D-SNP) H5190 - 004

Miami - Dade
Wellcare Dual Nurture (HMO D-SNP) H5190 - 005 Broward | Duval | Hillsborough | Orange | Osceola | Palm Beach | Pasco | Pinellas | Polk | Seminole | Volusia
Wellcare Dual Nurture (HMO D-SNP) H5190 - 006 Miami - Dade